LACEY JO DIVELEY Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194007873

License Status

NOT RENEWED

Business

First Name

LACEY

Middle

Last Name

DIVELEY

Business Name

LACEY JO DIVELEY

Original Issue Date

07/16/2009

Effective Date

10/21/2015

Expiration Date

10/31/2017

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

01/04/2018